Table 3

Previous studies of partial (0.6 mg/kg) versus full-dose (0.9 mg/kg) intravenous rt-PA followed by endovascular therapy

Author, yearDemographicsEndpoints
NAge in years, median (range) or mean±SDSex, men (%)NIHSS, median (IQR or range) or mean±SDRevascularization rate (TIMI/TICI 2–3) (%)Favorable outcome (%)sICH (%)Mortality (%)
0.6 mg/kg intravenous rt-PA
 EMS, 19991 1766±115316 (IQR 9–21)8233* 11.829
 Ernst et al, 20002 2069 (36–89)4521 (range 11–31)6965 510
 IMS, 20043 6264±13 50 18±5 5624.2* 6.3 16
 Flaherty et al, 20054 6269 (20-89)4018 (range 11–34)5950 818
 IMS II, 20075 5564±11** 57** 19±5** 6033 ** 10** 16**
 Wolfe et al, 20086 4167±143917 (IQR 11–20)6646 1227
 Sugiura et al, 20087 1670±96919±28863* 06
0.9 mg/kg intravenous rt-PA
 Hill et al, 20028 857±188818 (range 10–24)3838 012
 Lee et al, 20049 1663±83719±57569 6.26.2
 Shaltoni et al, 200710 6960±135518 (range 6–39)7355 617.4
 Smith et al, 200811 4868±16†† 43†† 19 (IQR 15–23)†† 7338 10, 2.1§§ 28
 Burns et al, 200812 3367±123316±373‡‡ 33.3 1212.1
 Nogueira et al, 201110669±174518±56624 44§ 8.532.4
  • * 90-day modified Rankin Scale (mRS) ≤1.

  • 90-day mRS ≤2.

  • Discharged to home/rehabilitation.

  • § Ambulatory at discharge.

  • Overall IMS trial cohort (n=80).

  • ** Overall IMS II trial cohort (n=81).

  • †† Overall Multi Merci trial cohort (n=164).

  • ‡‡ ≥1 Improvement in Qureshi grade.

  • §§ Symptomatic parenchymal hematoma type 2.

  • NIHSS, NIH Stroke Scale; rt-PA, recombinant tissue plasminogen activator; sICH, symptomatic intracranial hemorrhage; TICI, Thrombolysis in Cerebral Infarction; TIMI, Thrombolysis in Myocardial Infarction.